NPIMap

Organization Active NPI

Safe Haven Behavioral Center LLC

  • Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1508575978
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SAFE HAVEN BEHAVIORAL CENTER LLC
Practice address
6187 NW 167TH St Ste H26
Miami Gardens, FL 33015-4366
Phone
(305) 705-5666
Fax
(305) 402-6101
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luis Ledesma
Title
Owner, President
Phone
(305) 335-9627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6187 NW 167TH St Ste H26
Miami Gardens, FL 33015-4366

Mailing address

6187 NW 167TH St Ste H26
Miami Gardens, FL 33015-4366
Phone (305) 705-5666

National Provider Directory

National Provider Directory
Tax ID family
Safe Haven Behavioral Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1508575978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST STE H26",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330154366",
            "telephone_number": "305-705-5666",
            "fax_number": "305-402-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST STE H26",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330154366",
            "telephone_number": "305-705-5666",
            "fax_number": "305-402-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "305-335-9627"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.